person
Mr. Brent M Kroening
Optician in North Tonawanda, New York
NPI 1578893665

Brent M Kroening is a Optician based in North Tonawanda, NY and is specialized in Optician. Brent M Kroening practices in North Tonawanda, NY. The NPI Number for Brent M Kroening is 1578893665 and holds a License No. 004228-1 (New York).

The current practice location address for Brent M Kroening is 968 Payne Ave, North Tonawanda, NY and can be reached out via phone at 716-692-5480 and via fax at 716-692-4010.

Location: 968 Payne Ave, North Tonawanda, NY, 14120-3234
person
Provider Profile Details
NPI Number
1578893665
Provider Name
Brent M Kroening
Credential
Provider Entity Type
Individual
Gender
Male
Address
968 Payne Ave, North Tonawanda, NY, 14120-3234
Phone Number
716-692-5480
Fax Number
716-692-4010
Provider Enumeration Date
01/12/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00639881 05 NY
institution
Provider Business Practice Location Address Details
Address
968 Payne Ave
City
State
Zip
14120-3234
Phone Number
716-692-5480
Fax Number
716-692-4010
person
Provider Business Mailing Address Details
Address
968 Payne Ave
City
State
Zip
14120-3234
Phone Number
716-692-5480
Fax Number
716-692-4010
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
004228-1 (New York)
Definition
Definition to come...
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